Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $63.10 / $138.04	Facility		$20.89	$63.10	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $30.90	Professional		$12.02	$14.45	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.55 / $15.85	Professional		$7.41	$9.55	$15.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $43.65 / $165.96	Facility		$21.38	$43.65	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $10.96 / $12.30	Professional		$3.47	$10.96	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $35.48 / $72.44	Facility		$10.23	$35.48	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $18.20 / $24.55	Professional		$10.47	$18.20	$24.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $31.62 / $151.36	Professional		$17.38	$31.62	$151.36
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.85 / $31.62	Facility		$11.75	$15.85	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $12.30 / $15.85	Professional		$6.61	$12.30	$15.85